A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?

Lack of energy

Lack of time

Pain with movement

Fear of falling

Answer and Explanation

The Correct Answer is D

A.   While lack of energy can be a barrier to exercise, it is not as specific to the fear of falling.
B.   This is a common barrier to exercise for many people, but it does not specifically address the fear of falling.

C.   If the patient is experiencing pain with movement, it is important to address this before starting an exercise program. However, fear of falling is a more specific concern related to osteoporosis.
D.   Osteoporosis is a condition characterized by decreased bone density, which can increase the risk of fractures. A walking program can help improve bone health and reduce the risk of falls. However, many people with osteoporosis may be reluctant to start a walking program due to fear of falling.

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Correct Answer is A

Explanation

A. When a patient is taking multiple medications, it's important to review them for potential interactions. Polypharmacy, the use of multiple medications, is common in older adults and can increase the risk of adverse drug reactions, side effects, and decreased effectiveness of medications.
B. While it's important to educate the patient about the risks of polypharmacy, the nurse's initial priority should be to assess the medications for potential interactions.
C. This is an important step in patient education, but it should be done after the nurse has reviewed the medications for potential interactions.
D. While it's important to verify the appropriateness of each medication, the nurse's initial priority should be to assess for potential interactions.

A. Living conditions and family support B. Medications and current medical problems C. Results of the Mini Mental State examination D. Baseline physical and cognitive functioning

Correct Answer is D

Explanation

A. While this information can be helpful in understanding the patient's social context, it does not directly contribute to the development of a plan of care.
B. This information is important for understanding the patient's medical history and identifying any potential risk factors. However, a baseline assessment of physical and cognitive functioning is also essential for developing a comprehensive plan of care.
C. This assessment can be helpful in evaluating the patient's cognitive function, but it does not provide a complete picture of their overall physical and functional status.
D. When caring for an older adult in the emergency department, it is crucial to have a baseline understanding of their physical and cognitive functioning. This information will help the nurse assess the patient's current condition and identify any significant changes that may require intervention.

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A nurse is working with a woman who has been reluctant to start a walking program for her osteoporosis. What assessment by the nurse is most important?

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Naxlex Comprehensive Predictor Exams

The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

Correct Answer is A

Explanation

A nurse is caring for an older patient in the emergency department. What information about the patient will be most helpful in creating a plan of care?

Correct Answer is D

Explanation

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